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A Study of Foot and Ankle Joint Mobility among Diabetic Subjects

Mobility is life and life is mobility so goes the saying. This is possible due to the excellent design of the joint in the various parts of the body. Proper functioning of the joints requires not only a good but well lubricated joint surface but also normal integrity of the skin and the soft tissues around the joint. Restriction in movement of the joints has been noted with age. Osteoarthritis, a common cause of which old age, is one of the common causes of Limited Joint Mobility. Pain, swelling and a host of other causes leads to Limited Joint Mobility. Diabetes mellitus has been implicated as one of the causes of Limited Joint Mobility. LJM has been postulated ass one of the risk factors in the formation of plantar ulceration.

In diabetes, there is hardening of the tissues due to glycoselation of the tissues. Callosity and hardening of the skin has been noted in diabetic feet. Increased pressure in the foot has also been recognized as one of the important factors in the formation of ulcers in the foot, Hyperkeratoses and hardening of the skin in the sole of the foot can have an effect on the mobility of the joint of the foot.

This study on diabetic subjects is aimed at finding out the relationship between the hardening of the skin of the foot and its relationship to the mobility of the important joints of the foot. This study on diabetic subjects, aimed at getting some knowledge on the cause of limitation of joint mobility from the hardness of the tissue of foot sole and sensation of the foot sole, when compared with normal subjects. The areas of foot sole 8 and 5 have good correlation with the mobility of metatarsophalangeals, ankle dorsiflexion and MTPDF have (r = 0.91, p = 0.001) in diabetic subjects. Subtalar joint inversion and eversion have nice correlation with age in normals and diabetics.

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Last Updated: May 26, 2008 4:45 PM Comments: Manivannan M